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Organization

QLER TOUCH TN, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD DAVIS (CEO)
(312) 961-4490
Entity
Organization

Contact information

Practice address
166 E MAIN ST, HENDERSONVILLE, TN 37075-2520
(615) 822-3000
Mailing address
315 DEADERICK ST, NASHVILLE, TN 37238-3000

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician
208D00000X
General Practice Physician

Other

Enumeration date
08/14/2017
Last updated
08/14/2017
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